Please feel free to download our forms and send them in by mail or by fax for pre-registration and benefit verification for insurance.  The following three forms are necessary for pre-registration:

Pre-registration Forms In English:

  1. New Patient Form
  2. Acknowledgement of Receipt of Notice of Privacy Practices
  3. Consent for Use and Disclosure of Health Information

Pre-registration Forms In Spanish:

Please include a copy of your insurance card (front and back) and mail or fax these forms to:

Berger Dental Group, P.A. 

Post Office Box 6705

Columbia, SC 29260

Fax: 803-738-0300

 

Additional Forms:

Post-Op Discharge Instructions

Extraction Post-Op Instructions

Instrucciones Post-Operativas Despues Del Despido 
Instrucciones Post-Operativas Despues De Una Extraccion

 

 

 





 
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